Outcomes after thyroidectomy and parathyroidectomy

Prateek K. Gupta, Russell B Smith, Himani Gupta, R. Armour Forse, Xiang Fang, William Michael Lydiatt

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Background Previous reports on postoperative outcomes following thyroid and parathyroid surgery are limited by relatively small sample size. We report 30-day outcomes following thyroid and parathyroid surgery and analyze factors affecting length of stay (LOS) and postoperative adverse events (AEs). Methods The multicenter, prospective, National Surgical Quality Improvement Program (NSQIP) datasets (2007/2008) were used. Multivariable logistic regression and analysis of covariance (ANCOVA) were performed. Results Patients undergoing thyroidectomy, parathyroidectomy, or both were identified (n = 13,380, 6154, 1535, respectively). Thirty-day mortality was 0.08%, 0.16%, and 0.2%, respectively; 30-day morbidity was 3.50%, 3.02%, and 4.04%, respectively. Mean LOS values were 1.1 ± 1.4, 1.1 ± 2.1, and 1.4 ± 3.1 days, respectively. Congestive heart failure, dependent functional status, dialysis dependence, and chronic corticosteroid use were significantly associated with increased LOS and postoperative AE. Conclusions Morbidity and mortality rates following thyroid and parathyroid surgery are low. These data could be used by third-party interests, and surgeons should be aware of them to ensure their outcomes are in the national norm.

Original languageEnglish (US)
Pages (from-to)477-484
Number of pages8
JournalHead and Neck
Volume34
Issue number4
DOIs
StatePublished - Apr 1 2012

Fingerprint

Parathyroidectomy
Thyroidectomy
Length of Stay
Thyroid Gland
Morbidity
Mortality
Quality Improvement
Sample Size
Statistical Factor Analysis
Dialysis
Adrenal Cortex Hormones
Heart Failure
Logistic Models
Regression Analysis

Keywords

  • length of stay
  • morbidity
  • mortality
  • outcomes
  • parathyroidectomy
  • thyroidectomy

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Gupta, P. K., Smith, R. B., Gupta, H., Forse, R. A., Fang, X., & Lydiatt, W. M. (2012). Outcomes after thyroidectomy and parathyroidectomy. Head and Neck, 34(4), 477-484. https://doi.org/10.1002/hed.21757

Outcomes after thyroidectomy and parathyroidectomy. / Gupta, Prateek K.; Smith, Russell B; Gupta, Himani; Forse, R. Armour; Fang, Xiang; Lydiatt, William Michael.

In: Head and Neck, Vol. 34, No. 4, 01.04.2012, p. 477-484.

Research output: Contribution to journalArticle

Gupta, PK, Smith, RB, Gupta, H, Forse, RA, Fang, X & Lydiatt, WM 2012, 'Outcomes after thyroidectomy and parathyroidectomy', Head and Neck, vol. 34, no. 4, pp. 477-484. https://doi.org/10.1002/hed.21757
Gupta PK, Smith RB, Gupta H, Forse RA, Fang X, Lydiatt WM. Outcomes after thyroidectomy and parathyroidectomy. Head and Neck. 2012 Apr 1;34(4):477-484. https://doi.org/10.1002/hed.21757
Gupta, Prateek K. ; Smith, Russell B ; Gupta, Himani ; Forse, R. Armour ; Fang, Xiang ; Lydiatt, William Michael. / Outcomes after thyroidectomy and parathyroidectomy. In: Head and Neck. 2012 ; Vol. 34, No. 4. pp. 477-484.
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